| Doctor Name: | DR. JENNIFER LYNNE PAPPALARDO |
| NPI Number: | 1003141029 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 0751 |
| Business Practice Address: | 123 Summer St Department Of Podiatry Worcester, MA - 016081216 |
| Business Phone Number: | 5083637390 |
| Business Fax Number: | 5083637560 |
| Mailing Address: | 5300 E Erickson Dr Ste 118, Suite 112 TUCSON |
| State: | AZ |
| Postal Code: | 857122809 |
| Phone Number: | 5203266766 |
| Fax Number: | 5207401949 |
| NPI Enumeration Date: | 10/08/2009 |
| NPI Last Update Date: | 07/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 0751 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |